A 38-year-old male patient visited the clinic needing a tooth extracted from the upper left back tooth region. Upon examination, it was found to have a root canal treated root stump. The patient agreed to have the root extracted and immediately receive a dental implant. The root was carefully extracted to preserve the bone. A osteotomy was performed and a 4.2x14mm implant was placed, achieving an adequate torque of 40 Nm. Bone graft material was placed and sutures were used to complete the immediate implant procedure.

1. Immediate Implant
By :- Dr. Faheem Ahmed
B.D.S., M.I.D.A., M.I.S.O.I.
faheem.ahmed12000@gmail.com

2. Immediate Implant
• A 38 year old male
patient came to our clinic
to get a tooth in upper
left back tooth region.
• On clinical examination it
shows a RCTed root
stump in 24 region.
• Patient is advised to get it
removed and have a
dental implant to which
he agreed.
Dr. Faheem Ahmed5/11/2016
Dr. Faheem Ahmed
Dr. Faheem Ahmed

3. Pre-Op Radiograph To make understand the patient
about dental Implant
Dr. Faheem Ahmed5/11/2016
Dr. Faheem Ahmed
Dr. Faheem Ahmed

4. Extraction
After achieving
adequate anaesthesia
the root stump was
extracted taking care
not to damage the
bone.
Dr. Faheem Ahmed5/11/2016
Dr. Faheem Ahmed

5. Osteotomy
Dr. Faheem Ahmed
Initial Full length (14mm) achieved
with 2mm drill
5/11/2016
Dr. Faheem Ahmed
Dr. Faheem Ahmed

6. Osteotomy
• Osteotomy completed
3.7 x 14 mm
• Implant selected –
CSM Implant 4.2x14mm
Dr. Faheem Ahmed5/11/2016
Dr. Faheem Ahmed

7. Implant placement
Dr. Faheem Ahmed
Implant placement done
achieving an adequate torque
of 40 Nm
5/11/2016
Dr. Faheem Ahmed
Dr. Faheem Ahmed

8. Dr. Faheem Ahmed
Bone graft placed after putting
the cover screw and sutures
given.
5/11/2016
Dr. Faheem Ahmed
Dr. Faheem Ahmed